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Organization

ROBERT W. FATTOUCH D.M.D., P.C.

Active
Other names
Poway Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WADID FATTOUCH D.M.D. (OWNER/PRESIDENT)
(858) 674-4261
Entity
Organization

Contact information

Practice address
15835 POMERADO RD., SUITE 303, POWAY, CA 92064-2073
(858) 674-4267
(858) 676-0258
Mailing address
15835 POMERADO RD, SUITE 303, POWAY, CA 92064-2073
(868) 674-4261
(858) 676-0258

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60280
CA

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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